5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
A 91 percent occupancy rate keeps operations steady at Moundridge Manor, a mid-sized, 78-bed non-profit nursing home located at 710 North Christian Avenue in Moundridge, Kansas. The church-affiliated billing office processes standard payment tracks, accepting private pay along with Medicare and Medicaid. The neighborhood surrounding the property has a moderate walkability layout where a few quick errands can be managed on foot, though a vehicle is practical for most trips and family visits.
Extended long-term care forms the backbone of the daily routine here, with residents averaging a length of stay of 518 days. To cover these ongoing medical needs, the floor staff logs an average of 6 hours and 39 minutes of direct nursing care per resident every single day.
This daily care timeline covers specialized wound care, physical therapy recovery, medication management, and hospice support. Meals are prepared fresh in-house by a dietary team alongside a licensed dietitian, and the activity calendar includes practical community pastimes like cooking, quilting, poetry, and singing groups. While recent state checks flagged some observations regarding dining room practices and general food handling protocols, the facility submitted corrections to resolve the notes.
Prospective representatives can contact the main office to arrange a walk-through of the campus, check out the therapy areas, and review the daily nursing schedules firsthand. The administrative team coordinates these property visits while answering questions about room availability, admission paperwork, and how the kitchen team manages dietary preferences.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
|
44m per day | ■ Avg State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
|
36m per day | ▼ 10% State avg: 40m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
|
3h 29m per day | ▲ 30% State avg: 2h 41m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
|
3h 58m per day | ▲ 10% State avg: 3h 35m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
|
2m per day | ▼ 19% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
|
15m per day | ▼ 50% State avg: 30m per day · National avg: 28m per day |
Higher than the Kansas average: 79.5%
Moundridge Manor is administered by Kevin Wade Unruh.
In Kansas, the Department for Aging and Disability Services, Survey and Certification Commission performs the unannounced inspections required for facility licensing and federal certification.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
|
This Facility | KS Average | vs. KS Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
|
12 | 100 | This facility has 88% fewer total deficiencies than a typical Kansas assisted living residence (12 vs. KS avg 100).↓ 88% better |
|
Deficiencies per year
Average deficiencies per year since 2012.
|
0.9 | 7.1 | This facility has 87% fewer deficiencies per year than a typical Kansas assisted living residence (0.9 vs. KS avg 7.1).↓ 87% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Sep 2024
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 8 citations resulted from standard inspections; and 1 of 8 resulted from complaint investigations.
In line with State average
State average: N/A
In line with State average
State average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State average
State average ratio: 0 : 0
0% compared with State average
State average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Assists with medical care and medications.
All 11 LPN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Helps with daily care and mobility.
All 83 CNA Staff are full-time employees. No contractors work on this role.
83
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
474 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 83 | 0 | 83 | 19,362 | 92 | 100% | 7.4 |
| Medication Aide/Technician | 23 | 0 | 23 | 5,187 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 11 | 0 | 11 | 3,647 | 92 | 100% | 7.8 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 2,279 | 70 | 76% | 8.1 |
| Registered Nurse | 8 | 0 | 8 | 1,967 | 91 | 99% | 8.1 |
| Dietitian | 4 | 0 | 4 | 1,048 | 64 | 70% | 7.7 |
| Administrator | 2 | 0 | 2 | 1,010 | 87 | 95% | 6.9 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 972 | 66 | 72% | 8.2 |
| Nurse Practitioner | 2 | 0 | 2 | 925 | 64 | 70% | 7.9 |
| Other Dietary Services Staff | 5 | 0 | 5 | 757 | 54 | 59% | 7.7 |
| RN Director of Nursing | 3 | 0 | 3 | 601 | 65 | 71% | 6.3 |
| Dental Services Staff | 2 | 0 | 2 | 579 | 63 | 68% | 5.2 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 191 | 62 | 67% | 3 |
| Physical Therapy Assistant | 0 | 1 | 1 | 170 | 54 | 59% | 3.2 |
| Qualified Social Worker | 0 | 2 | 2 | 72 | 33 | 36% | 2.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 24 | 6 | 7% | 4.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 3 | 3% | 7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 20 | 3 | 3% | 6.8 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
In line with State average
State average: $44K
24% more fines than State average
State average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
200% more payment denials than State average
State average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 25, 2024 · $20K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 25, 2024
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.7
27% better than State average
State average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.7
34% better than State average
State average: 20.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
14.4%
24% better than State average
State average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
11.4%
41% better than State average
State average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.3%
36% better than State average
State average: 23.8%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
9% better than State average
State average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
5.1%
9% worse than State average
State average: 4.6%
Percent of long-stay residents with a urinary tract infection
0.7%
78% better than State average
State average: 3.1%
Percent of long-stay residents who lose too much weight
3.5%
31% better than State average
State average: 5.1%
Percent of long-stay residents who have depressive symptoms
8.0%
56% worse than State average
State average: 5.2%
Percent of long-stay residents who received an antipsychotic medication
6.7%
60% better than State average
State average: 16.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
7% better than State average
State average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
In line with State average
State average: 95.5%
Number of hospitalizations per 1,000 long-stay resident days.
0.87
53% better than State average
State average: 1.84
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.51
30% better than State average
State average: 2.16
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
79.4%
5% better than State average
State average: 75.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
6% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
35% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
73
Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Moundridge Manor from 2016–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under private pay (59% of admissions), and a typical private pay stay runs around 10 - 11 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Moundridge's city center to Moundridge Manor's address, calculated via Google Maps.
Add your location
The information below is reported by the Kansas Department for Aging and Disability Services.
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|---|---|---|---|---|---|---|---|
| Moundridge Manor |
NH
HC
MC
PC
|
Moundridge | - | 78 | - | 43 | - |
| Brookdale Rosehill |
NH
AL
|
Shawnee | - | 92 | A+ | 54 | Studio / 1 Bed |
| Ascension Living Via Christi Village McLean |
NH
AL
IL
MC
|
Wichita (Indian Hills) | - | 95 | - | 47 | Studio / 1 Bed |
| Ascension Living Via Christi Village Manhattan |
NH
AL
IL
|
Manhattan (Willow Grove Road) | - | 129 | - | 10 | Studio / 1 Bed / 2 Bed |
| Claridge Court |
NH
IL
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Prairie Village (Prairie Hills) | - | 45 | A+ | 64 | - |
Moundridge Manor has a walk score of 43. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to KS state health department records, Moundridge Manor's license number is 175553.
Moundridge Manor's occupancy is 91%.
Moundridge Manor is registered as a non-profit in KS.
Kevin Wade Unruh is the administrator of Moundridge Manor.
Moundridge Manor has 78 beds.
Moundridge Manor is located at 710 N. Christian Avenue, Moundridge, Ks 67107-800.
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